How much does established patient office visit, low complexity cost in Arizona?

CPT 99213 — the fair price, every hospital's price, and the Medicare benchmark for Arizona.

Estimates only. Educational estimates from public Medicare benchmarks and hospital-published prices — not a guarantee, and not legal, medical, or financial advice.
99213 Established patient office visit, low complexity
Market typical price
$162
47 facilities · typical range $96 – $442 · 1.8× Medicare PFS
What Medicare pays
$89
Market typical
$162
Cash / self-pay price
$247
Prices near you — 47 facilities, lowest first
FacilityTypePricevs MedicareQuality
Little Colorado Medical Center (Winslow) lowest ⚠ likely error Hospital $0cash 0.0× —
Banner Thunderbird Medical Center (Glendale) ⚠ likely error Hospital $6cash 0.1× ★★★★★
Banner University Medical Center Tucson Hospital $45cash 0.5× —
Kingman Regional Medical Center Hospital $71cash 0.8× —
Banner University Medical Center South (Tucson) Hospital $71cash 0.8× —
Valleywise Health Medical Center Hospital $71negotiated 0.8× ★★★★★
Northern Cochise Community Hospital (Willcox) Hospital $73cash 0.8× —
Banner Boswell Medical Center (Sun City) Hospital $77cash 0.9× ★★★★★
hip/knee complications 3.5%
Tucson Medical Center Hospital $81cash 0.9×
hip/knee complications 4.2%
Yavapai Regional Medical Center (Prescott & Prescott Valley) Hospital $82cash 0.9×
hip/knee complications 3.5%
Phoenix Children's Hospital Hospital $84negotiated 0.9× —
Banner Estrella Medical Center (Phoenix) Hospital $96cash 1.1× ★★★★★
Prices from each hospital's public machine-readable file; imaging & surgery-center prices are published self-pay rates (often the cheapest option). vs Medicare is how many times the Medicare rate each facility charges. 7 unusually low/high prices excluded from the typical price as likely data errors.
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What should 99213 cost in Arizona?

For established patient office visit, low complexity (CPT 99213) in Arizona, a fair self-pay price is around $162, with hospitals ranging from $96 to $442 across 47 facilities. Medicare's benchmark rate is $89, the benchmark every published rate is measured against. The card above lists each hospital's price, cheapest first, with CMS quality stars.

Frequently asked questions

How much does established patient office visit, low complexity cost in Arizona?

A fair self-pay price for established patient office visit, low complexity (CPT 99213) in Arizona is around $162, with hospital prices ranging from $96 to $442 across 47 facilities. These are estimates from hospital-published prices, not a guarantee.

What is the Medicare rate for CPT 99213?

Medicare pays about $89 for established patient office visit, low complexity (CPT 99213). That's the negotiation floor — a fair cash-pay target is roughly 1.5–2× it, well below typical gross charges.

Can I negotiate the price of established patient office visit, low complexity?

Yes. Under the federal Hospital Price Transparency rule hospitals must publish these rates, so you can ask to pay the cash or negotiated rate instead of the gross charge. Paste your bill on the home page for a ready-to-send appeal letter and the exact numbers to cite.

Placing a referral for this?

Enter the patient's ZIP and plan in the facility finder to see every facility near them that publishes a price for 99213, ranked, with the phone number and an out-of-pocket estimate.

Compare other procedures in Arizona

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Prices last refreshed September 2026 from each hospital's official CMS machine-readable file. Medicare rate: CY2025 OPPS/PFS/CLFS. Estimates only — not a guarantee.